Provider Demographics
NPI:1205195641
Name:JONES, THOMAS W III (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:W
Last Name:JONES
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3930 HOYT AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4919
Mailing Address - Country:US
Mailing Address - Phone:425-259-2020
Mailing Address - Fax:425-259-2801
Practice Address - Street 1:3930 HOYT AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4919
Practice Address - Country:US
Practice Address - Phone:425-259-2020
Practice Address - Fax:425-259-2801
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-04
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60661172207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology